REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT

National Capital Judicial Region
Branc !"
#anila
VERIFICATION AND CERTIFICATE OF NON-FORUM SHOPPING
I$ Ali%a #& Bagel'a$ o( legal age$ )arried$ and a re%ident o( Pal) *ri+e corner Sun%et A+enue
For,e% Par-$ #a-ati Cit' $under oat declare tat.
/& I a) te planti(( in te a,o+e )entioned ca%e0
!& I a+e cau%ed te preparation o( ti% co)plaint0
"& I a+e read it and it% content% are true and accurate o( )' per%onal -no1ledge and2or ,a%ed
on autentic record%0
3& I a+e not earlier co))enced a %i)ilar action again%t te de(endant (or te %a)e cau%e in
te Supre)e Court$ te Court o( Appeal%$ or an' oter tri,unal or agenc'0
4& To te ,e%t o( )' -no1ledge and ,elie($ no %uc action or proceeding i% pending in te
Supre)e Court$ te Court o( Appeal%$ or an' oter tri,unal or agenc'00
5& I( I %ould learn tat a %i)ilar action or proceeding a% ,een (iled or i% pending ,e(ore an'
oter court$ tri,unal or 6ua%i78udicial agenc'$ I ere,' underta-e to noti(' ti% Honora,le
Court 1itin (i+e 94: da'% (ro) %uc notice&
9%gd&:
Alisha M. Bagelya
URAT
SUBSCRIBE* AN* S;ORN to )e$ in te Cit' o( #anila$ ti% /4t da' o( #a'$ !<<=$
te a((iant e>i,iting er *ri+er?% Licen%e No& A46-48-749372 i%%ued ,' te Land Tran%portation
O((ice&
ATT!. RUB! MAE F. RE!ES
N"#a$y P%&li' ("$ Ma)ila
"!<@ Auintin Parede% St& Binondo$ #anila
Appoint)ent No& !5=$ Until *ece),er "/$ !<//
IBP No& 5B!340 </2/<2/< C #anila
PTR& No& @=4</!0 </2/<2/< C #anila
Roll No& @==5"0 42<42<4
#CLE No& !435!0 @2<@2<@
Serial No& o( Co))i%%ion #7//@"<
*oc& No& D/DD0
Page No& DD/D0
Boo- No& D/DD0
Serie% o( !</!